Sick Leave Pool Medical Certification Form
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- Oscar Hubbard
- 5 years ago
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1 Sick Leave Pool Medical Certification Form INSTRUCTIONS: Please submit this form as soon as possible to Collin College, Benefits Division, for immediate review. The employee s health care provider should complete this form and return via fax at (972) Treating Physician: In order to determine eligibility for Sick Leave Pool hours, the healthcare provider must fully complete Section A AND CIRCLE THE DIAGNOSIS CODE(S) for any/all condition(s) which apply in Section B. **PLEASE NOTE THESE ARE NOT ICD 10 BILLING CODES. THESE ARE DRG (DIAGNOSIS CODES) USED TO ALLOCATE ADDITIONAL LEAVE BASED ON AVERAGE LENGTH OF STAY (LOS). ** Requests for Sick Leave Pool will not be considered unless BOTH (Employee Request & Medical Certification) sections are fully completed. SECTION A Employee Name: CWID: Diagnosis/description of serious medical condition(s): Dates of Condition: Begin: End: Printed Name of Physician: Physician's Phone Number: Physician's Address: Signature of Physician: Date:
2 CODE 001 PRE SURG 002 PRE SURG 003 PRE SURG 004 PRE SURG 005 PRE SURG 006 PRE SURG 007 PRE SURG 008 PRE SURG 010 PRE SURG 011 PRE SURG 012 PRE SURG 013 PRE SURG 014 PRE SURG 016 PRE SURG 017 PRE SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG DESCRIPTION HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O ECMO OR TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. LIVER TRANSPLANT W OR INTESTINAL TRANSPLANT LIVER TRANSPLANT W/O LUNG TRANSPLANT SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT PANCREAS TRANSPLANT TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W/O ALLOGENEIC BONE MARROW TRANSPLANT AUTOLOGOUS BONE MARROW TRANSPLANT W AUTOLOGOUS BONE MARROW TRANSPLANT W/O INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W OR CHEMO IMPLANT CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O SPINAL PROCEDURES W SPINAL PROCEDURES W/O VENTRICULAR SHUNT PROCEDURES W VENTRICULAR SHUNT PROCEDURES VENTRICULAR SHUNT PROCEDURES W/O CODE SURG SURG SURG SURG SURG SURG SURG SURG MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED DESCRIPTION CAROTID ARTERY STENT PROCEDURE W CAROTID ARTERY STENT PROCEDURE W/O EXTRACRANIAL PROCEDURES W EXTRACRANIAL PROCEDURES EXTRACRANIAL PROCEDURES W/O PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC OR PERIPH NEUROSTIM PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O SPINAL DISORDERS & INJURIES W SPINAL DISORDERS & INJURIES W/O NERVOUS SYSTEM NEOPLASMS W NERVOUS SYSTEM NEOPLASMS W/O DEGENERATIVE NERVOUS SYSTEM DISORDERS W DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W/O INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION OR TPA IN 24 HRS INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O NONSPECIFIC CVA & PRECEREBRAL OLUSION W/O INFARCT W NONSPECIFIC CVA & PRECEREBRAL OLUSION W/O INFARCT W/O TRANSIENT ISCHEMIA NONSPECIFIC CEREBROVASCULAR DISORDERS W NONSPECIFIC CEREBROVASCULAR DISORDERS NONSPECIFIC CEREBROVASCULAR DISORDERS W/O Rev 3/2018 2
3 MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED SURG SURG CRANIAL & PERIPHERAL NERVE DISORDERS W CRANIAL & PERIPHERAL NERVE DISORDERS W/O VIRAL MENINGITIS W VIRAL MENINGITIS W/O HYPERTENSIVE ENCEPHALOPATHY W HYPERTENSIVE ENCEPHALOPATHY HYPERTENSIVE ENCEPHALOPATHY W/O NONTRAUMATIC STUPOR & COMA W NONTRAUMATIC STUPOR & COMA W/O TRAUMATIC STUPOR & COMA, COMA >1 HR W TRAUMATIC STUPOR & COMA, COMA >1 HR TRAUMATIC STUPOR & COMA, COMA >1 HR W/O TRAUMATIC STUPOR & COMA, COMA <1 HR W TRAUMATIC STUPOR & COMA, COMA <1 HR TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CONCUSSION W CONCUSSION CONCUSSION W/O OTHER DISORDERS OF NERVOUS SYSTEM W OTHER DISORDERS OF NERVOUS SYSTEM W OTHER DISORDERS OF NERVOUS SYSTEM W/O BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W/O NON BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W NON BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS NON BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O SEIZURES W SEIZURES W/O HEADACHES W HEADACHES W/O ORBITAL PROCEDURES W ORBITAL PROCEDURES W/O SURG SURG SURG MED MED MED MED MED SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG MED MED MED MED MED MED MED MED MED MED MED MED MED MED SURG SURG SURG SURG EXTRAOCULAR PROCEDURES EXCEPT ORBIT INTRAOCULAR PROCEDURES W INTRAOCULAR PROCEDURES W/O ACUTE MAJOR EYE INFECTIONS W ACUTE MAJOR EYE INFECTIONS W/O NEUROLOGICAL EYE DISORDERS OTHER DISORDERS OF THE EYE W OTHER DISORDERS OF THE EYE W/O MAJOR HEAD & NECK PROCEDURES W OR MAJOR DEVICE MAJOR HEAD & NECK PROCEDURES W/O CRANIAL/FACIAL PROCEDURES W CRANIAL/FACIAL PROCEDURES W/O OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O SINUS & MASTOID PROCEDURES W SINUS & MASTOID PROCEDURES W/O MOUTH PROCEDURES W MOUTH PROCEDURES W/O SALIVARY GLAND PROCEDURES EAR, NOSE, MOUTH & THROAT MALIGNANCY W EAR, NOSE, MOUTH & THROAT MALIGNANCY EAR, NOSE, MOUTH & THROAT MALIGNANCY W/O DYSEQUILIBRIUM EPISTAXIS W EPISTAXIS W/O OTITIS MEDIA & URI W OTITIS MEDIA & URI W/O OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O DENTAL & ORAL DISEASES W DENTAL & ORAL DISEASES DENTAL & ORAL DISEASES W/O MAJOR CHEST PROCEDURES W MAJOR CHEST PROCEDURES MAJOR CHEST PROCEDURES W/O OTHER RESP SYSTEM O.R. PROCEDURES W Rev 3/2018 3
4 SURG SURG MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED SURG OTHER RESP SYSTEM O.R. PROCEDURES OTHER RESP SYSTEM O.R. PROCEDURES W/O PULMONARY EMBOLISM W PULMONARY EMBOLISM W/O RESPIRATORY INFECTIONS & INFLAMMATIONS W RESPIRATORY INFECTIONS & INFLAMMATIONS RESPIRATORY INFECTIONS & INFLAMMATIONS W/O RESPIRATORY NEOPLASMS W RESPIRATORY NEOPLASMS RESPIRATORY NEOPLASMS W/O MAJOR CHEST TRAUMA W MAJOR CHEST TRAUMA MAJOR CHEST TRAUMA W/O PLEURAL EFFUSION W PLEURAL EFFUSION PLEURAL EFFUSION W/O PULMONARY EDEMA & RESPIRATORY FAILURE CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CHRONIC OBSTRUCTIVE PULMONARY DISEASE CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O SIMPLE PNEUMONIA & PLEURISY W SIMPLE PNEUMONIA & PLEURISY SIMPLE PNEUMONIA & PLEURISY W/O INTERSTITIAL LUNG DISEASE W INTERSTITIAL LUNG DISEASE INTERSTITIAL LUNG DISEASE W/O PNEUMOTHORAX W PNEUMOTHORAX PNEUMOTHORAX W/O BRONCHITIS & ASTHMA W BRONCHITIS & ASTHMA W/O RESPIRATORY SIGNS & SYMPTOMS OTHER RESPIRATORY SYSTEM DIAGNOSES W OTHER RESPIRATORY SYSTEM DIAGNOSES W/O RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <96 HOURS OTHER HEART ASSIST SYSTEM IMPLANT SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W/O CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O OTHER CARDIOTHORACIC PROCEDURES W OTHER CARDIOTHORACIC PROCEDURES OTHER CARDIOTHORACIC PROCEDURES W/O CORONARY BYPASS W PTCA W CORONARY BYPASS W PTCA W/O CORONARY BYPASS W CARDIAC CATH W CORONARY BYPASS W CARDIAC CATH W/O CORONARY BYPASS W/O CARDIAC CATH W CORONARY BYPASS W/O CARDIAC CATH W/O MAJOR CARDIOVASC PROCEDURES W MAJOR CARDIOVASC PROCEDURES W/O AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O PERMANENT CARDIAC PACEMAKER IMPLANT W Rev 3/2018 4
5 SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG MED MED MED MED MED MED PERMANENT CARDIAC PACEMAKER IMPLANT PERMANENT CARDIAC PACEMAKER IMPLANT W/O AICD GENERATOR PROCEDURES PERC CARDIOVASC PROC W DRUG ELUTING STENT W OR 4+ VESSELS/STENTS PERC CARDIOVASC PROC W DRUG ELUTING STENT W/O PERC CARDIOVASC PROC W NON DRUG ELUTING STENT W OR 4+ VES/STENTS PERC CARDIOVASC PROC W NON DRUG ELUTING STENT W/O PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O OTHER VASCULAR PROCEDURES W OTHER VASCULAR PROCEDURES OTHER VASCULAR PROCEDURES W/O UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CARDIAC PACEMAKER DEVICE REPLACEMENT W CARDIAC PACEMAKER DEVICE REPLACEMENT W/O CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O VEIN LIGATION & STRIPPING OTHER CIRCULATORY SYSTEM O.R. PROCEDURES AICD LEAD PROCEDURES ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O ACUTE MYOCARDIAL INFARCTION, EXPIRED W ACUTE MYOCARDIAL INFARCTION, EXPIRED ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED SURG SURG SURG CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O ACUTE & SUBACUTE ENDOCARDITIS W ACUTE & SUBACUTE ENDOCARDITIS ACUTE & SUBACUTE ENDOCARDITIS W/O HEART FAILURE & SHOCK W HEART FAILURE & SHOCK HEART FAILURE & SHOCK W/O DEEP VEIN THROMBOPHLEBITIS W DEEP VEIN THROMBOPHLEBITIS W/O CARDIAC ARREST, UNEXPLAINED W CARDIAC ARREST, UNEXPLAINED CARDIAC ARREST, UNEXPLAINED W/O PERIPHERAL VASCULAR DISORDERS W PERIPHERAL VASCULAR DISORDERS PERIPHERAL VASCULAR DISORDERS W/O ATHEROSCLEROSIS W ATHEROSCLEROSIS W/O HYPERTENSION W HYPERTENSION W/O CARDIAC CONGENITAL & VALVULAR DISORDERS W CARDIAC CONGENITAL & VALVULAR DISORDERS W/O CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O ANGINA PECTORIS SYNCOPE & COLLAPSE CHEST PAIN OTHER CIRCULATORY SYSTEM DIAGNOSES W OTHER CIRCULATORY SYSTEM DIAGNOSES W OTHER CIRCULATORY SYSTEM DIAGNOSES W/O STOMACH, ESOPHAGEAL & DUODENAL PROC W STOMACH, ESOPHAGEAL & DUODENAL PROC STOMACH, ESOPHAGEAL & DUODENAL PROC W/O Rev 3/2018 5
6 SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG MED MED MAJOR SMALL & LARGE BOWEL PROCEDURES W MAJOR SMALL & LARGE BOWEL PROCEDURES MAJOR SMALL & LARGE BOWEL PROCEDURES W/O RECTAL RESECTION W RECTAL RESECTION RECTAL RESECTION W/O PERITONEAL ADHESIOLYSIS W PERITONEAL ADHESIOLYSIS PERITONEAL ADHESIOLYSIS W/O APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W APPENDECTOMY W COMPLICATED PRINCIPAL DIAG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O MINOR SMALL & LARGE BOWEL PROCEDURES W MINOR SMALL & LARGE BOWEL PROCEDURES MINOR SMALL & LARGE BOWEL PROCEDURES W/O ANAL & STOMAL PROCEDURES W ANAL & STOMAL PROCEDURES ANAL & STOMAL PROCEDURES W/O INGUINAL & FEMORAL HERNIA PROCEDURES W INGUINAL & FEMORAL HERNIA PROCEDURES INGUINAL & FEMORAL HERNIA PROCEDURES W/O HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W OTHER DIGESTIVE SYSTEM O.R. PROCEDURES OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O MAJOR ESOPHAGEAL DISORDERS W MAJOR ESOPHAGEAL DISORDERS MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED SURG SURG SURG SURG SURG SURG SURG SURG SURG MAJOR ESOPHAGEAL DISORDERS W/O MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O DIGESTIVE MALIGNANCY W DIGESTIVE MALIGNANCY DIGESTIVE MALIGNANCY W/O G.I. HEMORRHAGE W G.I. HEMORRHAGE G.I. HEMORRHAGE W/O COMPLICATED PEPTIC ULCER W COMPLICATED PEPTIC ULCER COMPLICATED PEPTIC ULCER W/O UNCOMPLICATED PEPTIC ULCER W UNCOMPLICATED PEPTIC ULCER W/O INFLAMMATORY BOWEL DISEASE W INFLAMMATORY BOWEL DISEASE INFLAMMATORY BOWEL DISEASE W/O G.I. OBSTRUCTION W G.I. OBSTRUCTION G.I. OBSTRUCTION W/O ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O OTHER DIGESTIVE SYSTEM DIAGNOSES W OTHER DIGESTIVE SYSTEM DIAGNOSES OTHER DIGESTIVE SYSTEM DIAGNOSES W/O PANCREAS, LIVER & SHUNT PROCEDURES W PANCREAS, LIVER & SHUNT PROCEDURES W PANCREAS, LIVER & SHUNT PROCEDURES W/O BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CHOLECYSTECTOMY W C.D.E. W CHOLECYSTECTOMY W C.D.E. CHOLECYSTECTOMY W C.D.E. W/O Rev 3/2018 6
7 SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED SURG SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O HEPATOBILIARY DIAGNOSTIC PROCEDURES W HEPATOBILIARY DIAGNOSTIC PROCEDURES W HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W/O CIRRHOSIS & ALCOHOLIC HEPATITIS W CIRRHOSIS & ALCOHOLIC HEPATITIS CIRRHOSIS & ALCOHOLIC HEPATITIS W/O MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O DISORDERS OF PANCREAS EXCEPT MALIGNANCY W DISORDERS OF PANCREAS EXCEPT MALIGNANCY DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O DISORDERS OF THE BILIARY TRACT W DISORDERS OF THE BILIARY TRACT DISORDERS OF THE BILIARY TRACT W/O COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W COMBINED ANTERIOR/POSTERIOR SPINAL FUSION SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W/O SPINAL FUSION EXCEPT CERVICAL W SPINAL FUSION EXCEPT CERVICAL W/O BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO CONN TISS DIS W WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO CONN TISS DIS WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO CONN TISS DIS W/O REVISION OF HIP OR KNEE REPLACEMENT W REVISION OF HIP OR KNEE REPLACEMENT W REVISION OF HIP OR KNEE REPLACEMENT W/O MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O CERVICAL SPINAL FUSION W CERVICAL SPINAL FUSION CERVICAL SPINAL FUSION W/O AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT Rev 3/2018 7
8 SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O KNEE PROCEDURES W PDX OF INFECTION W KNEE PROCEDURES W PDX OF INFECTION W KNEE PROCEDURES W PDX OF INFECTION W/O KNEE PROCEDURES W/O PDX OF INFECTION W KNEE PROCEDURES W/O PDX OF INFECTION W/O BACK & NECK PROC EXC SPINAL FUSION W OR DISC DEVICE/NEUROSTIM BACK & NECK PROC EXC SPINAL FUSION W/O LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W/O SOFT TISSUE PROCEDURES W SOFT TISSUE PROCEDURES SOFT TISSUE PROCEDURES W/O FOOT PROCEDURES W FOOT PROCEDURES FOOT PROCEDURES W/O MAJOR THUMB OR JOINT PROCEDURES MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W/O ARTHROSCOPY SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W SURG SURG SURG SURG SURG SURG SURG MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W/O HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O FRACTURES OF FEMUR W FRACTURES OF FEMUR W/O FRACTURES OF HIP & PELVIS W FRACTURES OF HIP & PELVIS W/O SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W/O OSTEOMYELITIS W OSTEOMYELITIS OSTEOMYELITIS W/O PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CONNECTIVE TISSUE DISORDERS W CONNECTIVE TISSUE DISORDERS CONNECTIVE TISSUE DISORDERS W/O SEPTIC ARTHRITIS W SEPTIC ARTHRITIS SEPTIC ARTHRITIS W/O MEDICAL BACK PROBLEMS W MEDICAL BACK PROBLEMS W/O BONE DISEASES & ARTHROPATHIES W BONE DISEASES & ARTHROPATHIES W/O SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O TENDONITIS, MYOSITIS & BURSITIS W Rev 3/2018 8
9 MED MED MED MED MED MED MED MED MED SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG MED MED MED MED MED MED TENDONITIS, MYOSITIS & BURSITIS W/O AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O SKIN DEBRIDEMENT W SKIN DEBRIDEMENT SKIN DEBRIDEMENT W/O SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W SKIN GRAFT FOR SKIN ULCER OR CELLULITIS SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W/O SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O OTHER SKIN, SUBCUT TISS & BREAST PROC W OTHER SKIN, SUBCUT TISS & BREAST PROC W OTHER SKIN, SUBCUT TISS & BREAST PROC W/O MASTECTOMY FOR MALIGNANCY W MASTECTOMY FOR MALIGNANCY W/O BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O SKIN ULCERS W SKIN ULCERS SKIN ULCERS W/O MAJOR SKIN DISORDERS W MAJOR SKIN DISORDERS W/O MALIGNANT BREAST DISORDERS W MED MED MED MED MED MED MED MED MED MED SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG MED MED MED MALIGNANT BREAST DISORDERS MALIGNANT BREAST DISORDERS W/O NON MALIGNANT BREAST DISORDERS W NON MALIGNANT BREAST DISORDERS W/O CELLULITIS W CELLULITIS W/O TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MINOR SKIN DISORDERS W MINOR SKIN DISORDERS W/O ADRENAL & PITUITARY PROCEDURES W ADRENAL & PITUITARY PROCEDURES W/O AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W/O O.R. PROCEDURES FOR OBESITY W O.R. PROCEDURES FOR OBESITY O.R. PROCEDURES FOR OBESITY W/O SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O DIABETES W DIABETES DIABETES W/O Rev 3/2018 9
10 MED MED MED MED MED MED SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG MED MED MED MED MED MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLY TES W MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLY TES W/O INBORN AND OTHER DISORDERS OF METABOLISM ENDOCRINE DISORDERS W ENDOCRINE DISORDERS ENDOCRINE DISORDERS W/O KIDNEY TRANSPLANT MAJOR BLADDER PROCEDURES W MAJOR BLADDER PROCEDURES MAJOR BLADDER PROCEDURES W/O KIDNEY & URETER PROCEDURES FOR NEOPLASM W KIDNEY & URETER PROCEDURES FOR NEOPLASM KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O KIDNEY & URETER PROCEDURES FOR NON NEOPLASM W KIDNEY & URETER PROCEDURES FOR NON NEOPLASM KIDNEY & URETER PROCEDURES FOR NON NEOPLASM W/O MINOR BLADDER PROCEDURES W MINOR BLADDER PROCEDURES MINOR BLADDER PROCEDURES W/O PROSTATECTOMY W PROSTATECTOMY PROSTATECTOMY W/O TRANSURETHRAL PROCEDURES W TRANSURETHRAL PROCEDURES TRANSURETHRAL PROCEDURES W/O URETHRAL PROCEDURES W URETHRAL PROCEDURES W/O OTHER KIDNEY & URINARY TRACT PROCEDURES W OTHER KIDNEY & URINARY TRACT PROCEDURES OTHER KIDNEY & URINARY TRACT PROCEDURES W/O RENAL FAILURE W RENAL FAILURE RENAL FAILURE W/O ADMIT FOR RENAL DIALYSIS KIDNEY & URINARY TRACT NEOPLASMS W MED MED MED MED MED MED MED MED MED MED MED MED MED MED SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG MED MED MED KIDNEY & URINARY TRACT NEOPLASMS KIDNEY & URINARY TRACT NEOPLASMS W/O KIDNEY & URINARY TRACT INFECTIONS W KIDNEY & URINARY TRACT INFECTIONS W/O URINARY STONES W ESW LITHOTRIPSY W URINARY STONES W ESW LITHOTRIPSY W/O URINARY STONES W/O ESW LITHOTRIPSY W URINARY STONES W/O ESW LITHOTRIPSY W/O KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O URETHRAL STRICTURE OTHER KIDNEY & URINARY TRACT DIAGNOSES W OTHER KIDNEY & URINARY TRACT DIAGNOSES OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O MAJOR MALE PELVIC PROCEDURES W MAJOR MALE PELVIC PROCEDURES W/O PENIS PROCEDURES W PENIS PROCEDURES W/O TESTES PROCEDURES W TESTES PROCEDURES W/O TRANSURETHRAL PROSTATECTOMY W TRANSURETHRAL PROSTATECTOMY W/O OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MALIGNANCY, MALE REPRODUCTIVE SYSTEM MALIGNANCY, MALE REPRODUCTIVE SYSTEM W/O Rev 3/
11 MED MED MED MED MED MED SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG MED MED MED MED BENIGN PROSTATIC HYPERTROPHY W BENIGN PROSTATIC HYPERTROPHY W/O INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W/O PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O UTERINE,ADNEXA PROC FOR NON OVARIAN/ADNEXAL MALIG W UTERINE,ADNEXA PROC FOR NON OVARIAN/ADNEXAL MALIG UTERINE,ADNEXA PROC FOR NON OVARIAN/ADNEXAL MALIG W/O UTERINE & ADNEXA PROC FOR NON MALIGNANCY W UTERINE & ADNEXA PROC FOR NON MALIGNANCY W/O D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O VAGINA, CERVIX & VULVA PROCEDURES W VAGINA, CERVIX & VULVA PROCEDURES W/O FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MED MED MED MED SURG SURG SURG SURG SURG SURG MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED MED SURG SURG SURG SURG SURG SURG INFECTIONS, FEMALE REPRODUCTIVE SYSTEM INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CESAREAN SECTION W CESAREAN SECTION W/O VAGINAL DELIVERY W STERILIZATION &/OR D&C VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY VAGINAL DELIVERY W COMPLICATING DIAGNOSES VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE ECTOPIC PREGNANCY THREATENED ABORTION ABORTION W/O D&C FALSE LABOR OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE PREMATURITY W MAJOR PROBLEMS PREMATURITY W/O MAJOR PROBLEMS FULL TERM NEONATE W MAJOR PROBLEMS NEONATE W OTHER SIGNIFICANT PROBLEMS NORMAL NEWBORN SPLENECTOMY W SPLENECTOMY SPLENECTOMY W/O OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O Rev 3/
12 MED MED MED MED MED MED MED MED MED SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG SURG MED MED MED MED MED MED MED MED MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O RED BLOOD CELL DISORDERS W RED BLOOD CELL DISORDERS W/O COAGULATION DISORDERS RETICULOENDOTHELIAL & IMMUNITY DISORDERS W RETICULOENDOTHELIAL & IMMUNITY DISORDERS RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O LYMPHOMA & NON ACUTE LEUKEMIA W OTHER O.R. PROC W LYMPHOMA & NON ACUTE LEUKEMIA W OTHER O.R. PROC LYMPHOMA & NON ACUTE LEUKEMIA W OTHER O.R. PROC W/O MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W/O ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W/O CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W CHEMO W ACUTE LEUKEMIA AS SDX OR HIGH DOSE CHEMO AGENT CHEMO W ACUTE LEUKEMIA AS SDX W/O LYMPHOMA & NON ACUTE LEUKEMIA W LYMPHOMA & NON ACUTE LEUKEMIA MED MED MED MED MED MED MED MED SURG SURG SURG SURG SURG SURG MED MED MED MED MED MED MED MED MED MED MED SURG MED MED MED LYMPHOMA & NON ACUTE LEUKEMIA W/O OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O RADIOTHERAPY INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O POSTOPERATIVE OR POST TRAUMATIC INFECTIONS W O.R. PROC W POSTOPERATIVE OR POST TRAUMATIC INFECTIONS W O.R. PROC POSTOPERATIVE OR POST TRAUMATIC INFECTIONS W O.R. PROC W/O POSTOPERATIVE & POST TRAUMATIC INFECTIONS W POSTOPERATIVE & POST TRAUMATIC INFECTIONS W/O FEVER VIRAL ILLNESS W VIRAL ILLNESS W/O OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O SEPTICEMIA OR SEVERE SEPSIS W MV 96+ HOURS SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W/O O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION DEPRESSIVE NEUROSES NEUROSES EXCEPT DEPRESSIVE Rev 3/
13 MED MED MED MED MED MED MED MED MED SURG SURG SURG SURG SURG SURG SURG SURG SURG MED MED MED MED MED MED MED MED MED MED MED SURG SURG SURG DISORDERS OF PERSONALITY & IMPULSE CONTROL ORGANIC DISTURBANCES & MENTAL RETARDATION PSYCHOSES BEHAVIORAL & DEVELOPMENTAL DISORDERS OTHER MENTAL DISORDER DIAGNOSES ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O WOUND DEBRIDEMENTS FOR INJURIES W WOUND DEBRIDEMENTS FOR INJURIES WOUND DEBRIDEMENTS FOR INJURIES W/O SKIN GRAFTS FOR INJURIES W SKIN GRAFTS FOR INJURIES W/O HAND PROCEDURES FOR INJURIES OTHER O.R. PROCEDURES FOR INJURIES W OTHER O.R. PROCEDURES FOR INJURIES OTHER O.R. PROCEDURES FOR INJURIES W/O TRAUMATIC INJURY W TRAUMATIC INJURY W/O ALLERGIC REACTIONS W ALLERGIC REACTIONS W/O POISONING & TOXIC EFFECTS OF DRUGS W POISONING & TOXIC EFFECTS OF DRUGS W/O COMPLICATIONS OF TREATMENT W COMPLICATIONS OF TREATMENT COMPLICATIONS OF TREATMENT W/O OTHER INJURY, POISONING & TOXIC EFFECT DIAG W OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV 96+ HRS W SKIN GRAFT FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W/O MED MED MED SURG SURG SURG MED MED MED MED MED MED MED SURG SURG SURG SURG SURG MED MED MED SURG SURG MED MED MED MED 981 SURG 982 SURG 983 SURG EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV 96+ HRS W/O SKIN GRAFT FULL THICKNESS BURN W/O SKIN GRFT OR INHAL INJ NON EXTENSIVE BURNS O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O REHABILITATION W REHABILITATION W/O SIGNS & SYMPTOMS W SIGNS & SYMPTOMS W/O AFTERCARE W AFTERCARE W/O OTHER FACTORS INFLUENCING HEALTH STATUS CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W/O OTHER MULTIPLE SIGNIFICANT TRAUMA W OTHER MULTIPLE SIGNIFICANT TRAUMA W OTHER MULTIPLE SIGNIFICANT TRAUMA W/O HIV W EXTENSIVE O.R. PROCEDURE W HIV W EXTENSIVE O.R. PROCEDURE W/O HIV W MAJOR RELATED CONDITION W HIV W MAJOR RELATED CONDITION HIV W MAJOR RELATED CONDITION W/O HIV W OR W/O OTHER RELATED CONDITION EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O Rev 3/
14 984 SURG 985 SURG 986 SURG 987 SURG 988 SURG 989 SURG PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O NON EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W NON EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS NON EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O Rev 3/
DRG Code DRG Description FY18 Average Charge
DRG Code DRG Description FY18 Average Charge 3 ECMO OR TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O $ 665,511 4 TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. $ 422,497 37 EXTRACRANIAL
More informationSEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC 84, ,037.80
Inpatient Visits by DRG Inpatient Discharges between 10/01/17 and 09/30/18 DRG DRG Description Average Charge Self-Pay Price VAGINAL DELIVERY W/O COMPLICATING 775 DIAGNOSES 14,680.67 5,578.66 795 NORMAL
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004 Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. 244,470 040 Periph/Cranial Nerve & Other Nerv Syst Proc W Mcc 61,412 041 Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim
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